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Clinical Accuracy Spoken Here
Highest Mortality, Anterior MI

The location of damage in the heart is important in the diagnosis. Obstruction of the LAD usually leads to anterior or septal wall MIs. Twenty-five percent of MIs are anterior and have the highest mortality rate. Obstruction of the circumflex artery can lead to a posterior wall MI (2% of all MIs) or to a lateral wall MI (3% of all MIs). Obstruction of RCA leads to Inferior wall MI (17% of all MIs) with a 10% mortality rate. A less common cause of MIs is a severe spasm of the coronary artery caused by drugs or other stressors, treatable if caught early.

Athena Forum, CV Risk/MI Course, Module C www.athenaforum.com

Abnormal Labs Common in MS

Laboratory abnormalities are common in MS patients being treated with interferon. It is unusual for laboratory abnormalities to necessitate discontinuation of interferon but this can occur in a small percentage of individuals. Regular monitoring of hematology and chemistry is important for all patients receiving interferon. Because post-marketing cases of severe liver damage have occurred the National Multiple Sclerosis Society emphasizes the need for periodic liver function testing for all patients taking an interferon medication.

Athena Forum, MS Course, Module C, Management
Excellence in Case Mgmnt
Transitional Care, DP Differ

According to one source, transitional care is distinguished from discharge planning (DP) in that the former encompasses both the sending and receiving aspects of the transfer. Transitional care is primarily concerned with the relatively brief time interval that begins with preparing a patient to leave one setting and be received in the next. Sometimes the two processes overlap and are difficult to distinguish between. Care coordination is a related but distinct concept. It is the actual transition between two care settings and involves the interaction of providers and health plan administrators. Coordinated interaction across care settings ensures optimal patient care.

[Reference: Athena Forum, Discharge Planning Course, Module A]

In the Headlines . . .
THA Readmission Rates Double

A study published April 20 in JAMA found that the average hospital stay of Medicare patients who had hip replacement dropped from 9.1 days in 1991/1992 to 3.7 days in 2007/2008, flanking an increase in the proportion of those who were sent to skilled care facilities and a decrease in the proportion of those who were sent home after discharge. Researchers said the shorter hospital stays might explain the rise in readmission rates Ð from 4.6% in the 2001/2002 period to 8.5% in 2007/2008.

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The look of confidence
  CM Excellence® Series: 
  » Principles of Case
  » Patient Advocacy
  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
  » Colorectal Cancer
  » COPD
  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
  » Pain Management
  » Rheumatoid Arthritis
  » Women’s Health



Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum


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